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1154106235
MALIA SENECA ANN MCCONNELL
BOISE, ID
NPI
1154106235
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: ID 53457)
Enumeration Date
2023-08-28
Last Update Date
2023-11-28
Business Address
Mrs. MALIA SENECA ANN MCCONNELL FNP-C
801 N STILSON RD STE 100
BOISE, ID 83703-5142
Phone number: 208-401-6073
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Mailing Address
Mrs. MALIA SENECA ANN MCCONNELL FNP-C
1375 N WATSON AVE
EAGLE, ID 83616-6675
Phone number: 208-401-6073
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